999 resultados para key exhaustion
Resumo:
Like many nations in sub-Saharan Africa, Ethiopia has both a high neonatal mortality rate and maternal mortality ratio and is unlikely to meet Millennium Development Goals 4 and 5 by 2015. This working paper examines how Key Informant Research (KIR) in rural and pastoralist Ethiopia will identify facilitators and barriers to the use of maternal, neonatal and child health services. The methodology is informed by Participative Ethnographic Evaluation Research (PEER) and Key Informant Monitoring (KIM). Key Informant Research (KIR) training will provide research skills to Health Extension Workers (HEWs) and Non-government organisation (NGO) staff to enable them to develop research questions, collect data and participate in preliminary data analysis. This will enable the identification of strategies that improve the identification of risk, enhance early referral, increase access, affordability and acceptability of skilled birthing services in rural and pastoralist Ethiopia.
Resumo:
Personal information and communication technologies (ICTs) have become commonplace. Today many people own, or have access to, a range of different computing and communication devices, information technologies, and services, which they incorporate into their everyday routines. Increasingly, these technologies impact the way that individuals work, socialize, and play. Workers are bringing their personal ICTs to the office, and organizations are tailoring their computing environments toward ubiquitous integration with personal ICTs. These developments are opening up new ways of working, but they also create new challenges for organizations in accommodating this “nonaffiliated” use as part of their information systems environments. In this article we propose a framework for analyzing the composition and impact of personal ICT ensembles. The framework is positioned as pre-theory that invites further development and empirical testing. We illustrate how the proposed framework could be applied to consider personal ICT use across the work/home context. Several implications stemming from the notion of a personal ICT ensemble are highlighted, including practical considerations for nonaffiliated use in organizations. We conclude with suggestions for further development of the proposed framework.
Resumo:
Issue addressed:
Methods:
For an online survey, members of a bicycle group (831 utility cyclists and 931 non-utility cyclists, aged 18–90 years) were asked to describe, unprompted, what would motivate them to engage in utility cycling (more often). Responses were coded into themes within four levels of an ecological model.
Results:
Within an ecological model, built environment influences on motivation were grouped according to whether they related to appeal (safety), convenience (accessibility) or attractiveness (more amenities) and included adequate infrastructure for short trips, bikeway connectivity, end-of-trip facilities at public locations and easy and safe bicycle access to destinations outside of cities. A key social–cultural influence related to improved interactions among different road users.
Conclusions:
The built and social–cultural environments need to be more supportive of utility cycling before even current utility and non-utility cyclists will be motivated to engage (more often) in utility cycling.
So what?
Additional government strategies and more and better infrastructure that support utility cycling beyond commuter cycling may encourage a utility cycling culture.
Resumo:
Aims
This study examined how family, peer and school factors are related to different trajectories of adolescent alcohol use at key developmental periods.
Design
Latent class growth analysis was used to identify trajectories based on five waves of data (from grade 6, age 12 to grade 11, age 17), with predictors at grades 5, 7 and 9 included as covariates.
Setting
Adolescents completed surveys during school hours.
Participants
A total of 808 students in Victoria, Australia.
Measurements
Alcohol use trajectories were based on self-reports of 30-day frequency of alcohol use. Predictors included sibling alcohol use, attachment to parents, parental supervision, parental attitudes favourable to adolescent alcohol use, peer alcohol use and school commitment.
Findings
A total of 8.2% showed steep escalation in alcohol use. Relative to non-users, steep escalators were predicted by age-specific effects for low school commitment at grade 7 (P = 0.031) and parental attitudes at grade 5 (P = 0.003), and age-generalized effects for sibling alcohol use (Ps = 0.001, 0.012, 0.033 at grades 5, 7 and 9, respectively) and peer alcohol use (Ps = 0.041, < 0.001, < 0.001 at grades 5, 7 and 9, respectively). Poor parental supervision was associated with steep escalators at grade 9 (P < 0.001) but not the other grades. Attachment to parents was unrelated to alcohol trajectories.
Conclusions
Parental disapproval of alcohol use before transition to high school, low school commitment at transition to high school, and sibling and peer alcohol use during adolescence are associated with a higher risk of steep escalations in alcohol use.
Resumo:
Background
Patient safety depends on nurses' clinical judgment. In post-anaesthetic care, objective scoring systems are commonly used to help nurses assess when a patient is ready to go back to the ward or be discharged home after day surgery. Although there are several criteria used to assess patient readiness for discharge from the post-anaesthetic care unit, evaluation of the validity and reliability of these criteria is scarce.
Aims
This article presents key findings from a systematic review conducted to identify the essential components of an effective and feasible scoring system to assess patients following surgical anaesthesia for discharge from the post-anaesthetic care unit.
Methods
The protocol for the systematic review of quantitative studies investigating assessment criteria for discharge of adult patients from the post-anaesthetic care unit was approved by the Joanna Briggs Institute and conducted consistent with the methodology of the Institute. Twelve databases and grey literature, such as conference proceedings, were searched for published studies between 1970 and 2010. Two reviewers independently assessed study eligibility for inclusion. Reference lists of included studies were appraised.
Results
Eight studies met the inclusion criteria; only one was a randomised controlled trial. Variables identified as essential when assessing a patient's readiness for discharge from the post-anaesthetic care unit were conscious state, blood pressure, nausea and vomiting, and pain. Assessment of psychomotor and cognitive recovery and other vital signs were also identified as relevant variables to consider.
Conclusions
There was limited high-quality research regarding criteria to assess patient readiness for discharge from the post-anaesthetic unit. The key recommendations, with moderate to high risk of bias, include that assessment of specific variables (pain, conscious state, blood pressure, and nausea and vomiting) should be made before patient discharge. These key findings have informed a subsequent study to reach international consensus on effective assessment criteria and a project to test the clinical reliability of a tool for use by nurses in assessing patient readiness for discharge from post-anaesthetic care.
